East Sussex Highways

Application form for Temporary Orders

[Section 1]
LOCATION: / Road No:
Road Name:
Town/Parish:
[Section 2]
TYPE OF TEMPORARY ORDER REQUIRED
If completing form by hand please circle/ highlight required temporary order / Road Closure Please selectYESNO
Speed Restriction Please selectYESNO (Please state required speed limit)
One Way Order Please selectYESNO (Provide details in Section 4)
Prohibition of Waiting At Any Time (no parking) Please selectYESNO
Suspension of Parking Restrictions Please selectYESNO
Footway Closure Please selectYESNO
Public Right of Way (Footpath/Bridleway) Please selectYESNO
Weight Restriction Please selectYESNO
Other Please state / Applicants must provide at least two maps/plans to a minimum scale of 1:2500. The maps/plans must show the exact position of the road closure or one-way restriction etc – see Guidance Notes for Applicants.
[Section 3]
EXTENT OF HIGHWAY AFFECTED:
TQ Ref: / Length of works (metres) =
[Section 4]
REASON FOR TEMPORARY ORDER:
[Section 5]
DATE FROM: / DATE TO:
DURATION OF WORKS:
[Section 6]
PROPOSED DIVERSION ROUTE IF APPLICABLE: / Diversion route & signing schedule must be attached. This may alter depending on the location, traffic flows, or other works/events
[Section 7] PERMANENT TRAFFIC ORDERS TO BE CHANGED IF NECESSARY:
[Section 8]
For all temporary orders applicants must liaise with East Sussex County Council’s Public Transport Services team regarding potential diversions of BUS ROUTES:
Public Transport Services:
Address: Public Transport Services, B Floor, West Block, County Hall, St Anne's Crescent, Lewes, East Sussex, BN7 1UE. Team Tel No: 01273 335080 or Fax: 01273 474361 or Email:
Processing of applications may be DELAYED if supporting statements are omitted.
I confirm that Public Transport Services has been contacted regarding temporary diversion routes for bus services and have issued the attached statement
(Please attach statement from Public Transport Services.) / Signature ………………………………(Applicant)
Print (Applicant)
Date: (Applicant)
[Section 9] CONTRACTOR CONTACT:
MANDATORY
[Section 10] CONTRACTOR ADDRESS
MANDATORY
[Section 11] CONTRACTOR TEL NO. AND EMAIL ADDRESS: MANDATORY
Daytime Tel No:
Email Address: / [Section 12] OUT OF HOURS CONTACT AND TELEPHONE NO.
MANDATORY
Out of Hours Tel No:
[Section 13] Insurance: Public liability insurance to a minimum of £10 million must be provided. (Proof to be submitted with this form)
Company Name: Address:
Tel No: Policy No: Expiry Date:
[Section 14]
Company Name who will be paying the invoice Mandatory
[Section 15]
Address to send invoice to
Mandatory
[Section 16]
Contact name who has requested road closure
Mandatory
[Section 17]
Purchase Order No. / Order Reference No. (if applicable)
Mandatory
[Section 18]
General enquiries telephone number (to be provided to members of public if necessary) Mandatory
[Section 19]
ETON permit no. / Works reference no. (if applicable)
Internal Applications only:
ESH Project Manager’s Name: / Tel No:
ESH Snr Tech Name: / Tel No:
Please insert SAP COST CODE / GL CODE below
Cost Code / GL Code

0345 60 80 193 2